Mariangelly Jimenez Rivera, MD, PA
General Practice in Aguadilla, PR. Individual provider (NPI-1).
NPI number1962392076
StatusActive
Last updated in NPPESAug 21, 2026
Details
- NPI
- 1962392076
- Entity type
- Individual (NPI-1)
- Name
- Mariangelly Jimenez Rivera
- Credential
- MD, PA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 9, 2025
- Certification date
- Aug 21, 2026
- Last updated
- Aug 21, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - GENERAL PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 25186 | PR | Yes |
Practice location
Carr. Est. Pr-460, Km 0.2, Bo. Caimito Bajo,Aguadilla, PR 00603
Phone 787-658-0200
Mailing address
71 Calle Felix Ramos VelezIsabela, PR 00662-3418
Phone 787-943-7330
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